| NPI | 1346089513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH FOGEL Ambr 386-957-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-11-24 |